易筋经康复干预对膝骨关节炎患者不良情绪及慢性疼痛的影响研究  

Effect of Yijinjing rehabilitation intervention on negative psychological emotion and chronic pain in patients with knee osteoarthritis

作　　者：陈聪 柳满燕[1] 陈琼华 CHEN Cong;LIU Manyan;CHEN Qionghua(Department of Orthopedics,First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine/Guangdong Provincial Clinical Research Institute of Traditional Chinese Medicine,Guangzhou,Guangdong,510405 China)

机构地区：[1]广州中医药大学第一附属医院/广东省中医临床研究院骨科,广东广州510405

出　　处：《检验医学与临床》2024年第14期2121-2124,共4页Laboratory Medicine and Clinic

摘　　要：目的探讨易筋经康复干预对膝骨关节炎患者情绪及慢性疼痛的影响。方法选取2021年12月至2022年12月该院收治的106例膝骨关节炎患者作为研究对象,采用随机数字表法将其分为对照组、观察组,各53例。对照组实施本体感觉+平衡训练干预,观察组实施易筋经康复干预。评估并比较2组干预前后膝骨关节炎严重程度、炎症因子水平、本体感觉敏感度、平衡能力、疼痛程度、不良情绪。结果干预后,2组西安大略马斯特大学骨关节炎指数量表、焦虑自评量表、抑郁自评量表、视觉疼痛模拟量表评分及白细胞介素-1β、肿瘤坏死因子-α、白细胞介素-6水平均低于干预前(P<0.05),且观察组低于对照组(P<0.05)。与干预前比较,干预后,2组平均轨迹误差(ATE)均降低、本体感觉测试执行时间(TTE)均缩短、睁眼及闭眼椭圆面积均缩小,差异均有统计学意义(P<0.05);与对照组比较,观察组干预后ATE较低,TTE较短,闭眼运动椭圆面积较小,差异均有统计学意义(P<0.05);干预后2组睁眼运动椭圆面积比较,差异无统计学意义(P>0.05)。结论易筋经康复干预可改善患者临床症状,提高患者关节稳定性,缓解患者慢性疼痛,改善患者焦虑抑郁情绪。Objective To explore the effect of Yijinjing rehabilitation intervention on negative psychological emotion and chronic pain in the patients with knee osteoarthritis.Methods A total of 106 patients with knee osteoarthritis admitted and treated in this the hospital from December 2021 to December 2022 were selected as the study subjects.They were randomly divided into the control group and the observation group,53 cases in each group.The control group received the proprioception+balance training intervention,while the observation group implemented the Yijinjing rehabilitation intervention.The severity degree of knee osteoarthritis,levels of inflammatory factors,proprioceptive sensitivity,balance ability,pain level and negative emotions before and after intervention were evaluated and compared between two groups.Results The scores of Western Ontario and McMaster University Osteoarthritis Index,Self Rating Anxiety Scale,Self Rating Depression Scale and Visual Pain Analog Scale,and the levels of interleukin-1β,tumor necrosis factor-αand interleukin-6 after intervention were all lower than those before intervention(P<0.05),and the observation group were lower than the control group(P<0.05).Compared with before intervention,after intervention,the average trajectory error(ATE)of both groups was decreased,the execution time of proprioception tests(TTE)was shortened,the elliptical area of open and closed eye movements was reduced,and the differences were statistically significant(P<0.05);compared with the control group,ATE after intervention in the observation group was lower,TTE was shorter,the elliptical area of closed eye movement was smaller,and the differences were statistically significant(P<0.05);there was no significant difference in the elliptical area of eye opening movement after intervention between the two groups(P>0.05).Conc lusion The Yijinjing rehabilitation intervention could improve the patients′clinical symptoms,increase the patients′joint stability,alleviate the patients′chronic pain symptoms,and

关 键 词：易筋经 膝骨关节炎 焦虑 抑郁 慢性疼痛 骨关节炎指数 

分 类 号：R684.3[医药卫生—骨科学] R446.1[医药卫生—外科学]